Individual
JOHN CACCIAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8815 GERMANTOWN AVE, 5TH FLOOR, PHILADELPHIA, PA 19118-2722
(215) 248-8145
Mailing address
8815 GERMANTOWN AVE, SUITE 40, PHILADELPHIA, PA 19118-2722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD066065L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011780420001
—
PA
Enumeration date
10/13/2005
Last updated
12/01/2016
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